| Florida Bay Associates Llc | |
|
8785 Sw 165th Ave Suite #301 Miami FL 33193-5826 | |
| (305) 457-9333 | |
| Not Available |
| Full Name | Florida Bay Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8785 Sw 165th Ave, Miami, Florida |
| Authorized Official Name and Position | Daniel F Mandri (OWNER) |
| Authorized Official Contact | 3054579333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Bay Associates Llc 8201 Sw 94th St Miami FL 33156-7303 Ph: (305) 457-9333 | Florida Bay Associates Llc 8785 Sw 165th Ave Suite #301 Miami FL 33193-5826 Ph: (305) 457-9333 |
| NPI Number | 1184863128 |
|---|---|
| Provider Enumeration Date | 02/15/2009 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 7315127842 |
|---|---|
| Medicare Enrollment ID | O20110215000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184863128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME34257 (Florida) | Primary |
| Provider Name | Daniel F Mandri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013966704 PECOS PAC ID: 5991755316 Enrollment ID: I20050124000937 |
| Provider Name | Katia Calleja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109860 PECOS PAC ID: 4183016546 Enrollment ID: I20220114000168 |
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